Fulminant septic shock due to community-acquired pneumonia caused by Legionella pneumophila SG1 Olda OLDA ST1. Case report

被引:1
|
作者
de Miguel-Balsa, Eva [1 ,2 ]
Navarro, Enrique Jaimez [1 ]
Cascajero, Almudena [3 ]
Gonzalez-Camacho, Fernando [3 ]
Gonzalez-Rubio, Juana Maria [3 ]
机构
[1] Hosp Gen Univ Elche, Serv Med Intens, Alicante, Spain
[2] Miguel Hernandez Univ, Fac Med, Dept Clin Med, Alicante, Spain
[3] Inst Salud Carlos III, Legionella Reference Lab, Natl Ctr Microbiol, Majadahonda 28220, Spain
关键词
Community-adquired pneumonia; Septic shock; Legionnaires' disease; Legionella pneumophila; SEROGROUPS; GUIDELINE; ADULTS;
D O I
10.1016/j.jiph.2024.04.019
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Legionellers' desease accounts for 1-8 % of cases of severe community-acquired pneumonia (CAP). Legionella spp. Is the causative organism that can result in respiratory failure, multi-organ dysfunction, sepsis, and death. Therefore, rapid diagnosis and efficient treatment are crucial. We report the clinical and microbiology study of a patient with community-acquired pneumonia caused by Legionella pneumophila, with fatal outcome. After death, the strain causing the infection was identified as Legionella pneumophila serogroup 1, Olda OLDA phenotype and sequence-type 1. This is the first reported case of septic shock and death associated with an isolate of these characteristics. (c) 2024 The Author(s). Published by Elsevier Ltd on behalf of King Saud Bin Abdulaziz University for Health Sciences. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
引用
收藏
页码:1047 / 1049
页数:3
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